How have Americans grappled with the moral and financial issues of veterans' health care?
In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans' health system marked a reimagining of modern veterans' benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care.
Adler reveals that a veterans' health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans' welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change.
The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country's largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.

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Project MUSE (https://muse.jhu.edu/)

Jessica L. Adler

Johns Hopkins University Press, Baltimore, 2017

United States, United States of America

Baltimore Baltimore Md, 2017

Illustrated, US, 2017

producers:
Muse-DL/1.0.0

Cover 1
Title Page, Series Page, Copyright 2
Contents 6
Acknowledgments 8
Abbreviations Used in the Text 12
Introduction. War and Federally Sponsored Health Care 16
1. An Extra-Hazardous Occupation: Preparing for the Health Outcomesᅡᅠof War 25
2. A Stupendous Task: The Challenges of Domestic Military Health Care 58
3. War Is Hell but after Is ¬タワHeller¬タン: An Army Responsibility Becomes a Societal Obligation 98
4. The Debt We Owe Them: Advocating, Funding, and Planning for Veterans¬タル Health Care 136
5. Administrative Geometry: Creating and Growing the Veterans Bureau and Its Hospitals 171
6. I Never Did Feel Well Again: Entrenching a Federal Health System 207
7. State Medicine: Enduring under Fire 242
Conclusion. The Legacy of Great War Health Policy 268
Notes 280
Essay on Sources 344
Index 356
Publisher:Johns Hopkins University Press,Published:2017,ISBN:9781421422886,Related ISBN:9781421422879,DOI:10.1353/book.55660,Language:English,OCLC:1002109202
During and after World War I, policy makers, public health advocates, and veterans laid the groundwork for the extension of government-sponsored medical care to millions of former service members. In the process, they built a pillar of American social policy. In Burdens of War, Jessica L. Adler explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care.Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change.The book moves from the 1920s—when veterans requested better and more services, Congress continued to approve new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.

In The World War I Era, Veterans Fought For A Unique Right: Access To Government-sponsored Health Care. In The Process, They Built A Pillar Of American Social Policy. Burdens Of War Explores How The Establishment Of The Veteransâ€TM Health System Marked A Reimagining Of Modern Veteransâ€TM Benefits And Signaled A Pathbreaking Validation Of The Power Of Professionalized Institutional Medical Care. Adler Reveals That A Veteransâ€TM Health System Came About Incrementally, Amid Skepticism From Legislators, Doctors, And Army Officials Concerned About The Burden Of Long-term Obligations, Monetary Or Otherwise, To Ex-service Members. She Shows How Veteransâ€TM Welfare Shifted From Centering On Pension And Domicile Care Programs Rooted In The Nineteenth Century To Direct Access To Health Services. She Also Traces The Way That Fluctuating Ideals About Hospitals And Medical Care Influenced Policy At The Dusk Of The Progressive Era; How Race, Class, And Gender Affected The Health-related Experiences Of Soldiers, Veterans, And Caregivers; And How Interest Groups Capitalized On A Tense Political And Social Climate To Bring About Change. The Book Moves From The 1910s—when Service Members Requested Better Treatment, Congress Approved New Facilities And Increased Funding, And Elected Officials Expressed Misgivings About Who Should Have Access To Care—to The 1930s, When The Economic Crash Prompted Veterans To Increasingly Turn To Hospitals For Support While Bureaucrats, Politicians, And Doctors Attempted To Rein In The System. By The Eve Of World War Ii, The Roots Of What Would Become The Countryâ€TMs Largest Integrated Health Care System Were Firmly Planted And Primed For Growth. Drawing Readers Into A Critical Debate About The Level Of Responsibility America Bears For Wounded Service Members, Burdens Of War Is A Unique And Moving Case Study. -- Jennifer D. Keene, Chapman University, Author Of Doughboys, The Great War, And The Remaking Of America

"During and after World War I, policy makers, public health advocates, and veterans laid the groundwork for the extension of government-sponsored medical care to millions of former service members. In the process, they built a pillar of American social policy. Legislation and rehabilitation plans formulated shortly after the U.S. entered the Great War aimed to minimize the government's long-term obligations to veterans, but within a decade, those who had served gained conditional access to their own direct assistance agency and a national system of hospitals. Burdens of War explains why that drastic transition occurred, and how one group of citizens won the right to obtain publicly funded health services. The story of the early roots of service-related health policies has a variety of larger implications. It shows how veterans' welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to the provision of access to direct medical services; how shifting ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender shaped the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change. On a general level, an examination of the roots of a nationwide veterans' hospital system demonstrates how privileges were won in the twentieth-century United States. It reveals a moment of state expansion, but also illustrates the wider tendency of the U.S. government to award entitlements selectively. The policies that paved the way for the advent of a veterans' medical system thus deserve to be considered as foundational in the development and shape of the American welfare state."--Provided by publisher

"During and after World War I, policy makers, soldiers, and veterans laid the groundwork for the extension of government-sponsored medical care to millions of former service members. In the process, they built a pillar of the American welfare state. Legislation and rehabilitation plans formulated shortly after the U.S. entered the Great War aimed to minimize the government's long-term obligations to veterans, but within a decade, those who had served gained conditional access to their own direct assistance agency and a national system of hospitals. Burdens of War explains why that drastic transition occurred, and how one group of citizens won the right to obtain publicly funded health services. The story of the early roots of service-related health policies has a variety of larger implications. It shows how veterans' welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to the provision of access to direct medical services; how shifting ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender shaped the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change. On a general level, an examination of the roots of a nationwide veterans' hospital system demonstrates how privileges were won in the twentieth-century United States. It reveals a moment of state expansion, but also illustrates the wider tendency of the U.S. government to award entitlements selectively. The policies that paved the way for the advent of a veterans' medical system thus deserve to be considered as foundational in the development and shape of the American welfare state."-- Résumé de l'éditeur

"During and after World War I, policy makers, soldiers, and veterans laid the groundwork for the extension of government-sponsored medical care to millions of former service members. In the process, they built a pillar of the American welfare state. Legislation and rehabilitation plans formulated shortly after the U.S. entered the Great War aimed to minimize the government's long-term obligations to veterans, but within a decade, those who had served gained conditional access to their own direct assistance agency and a national system of hospitals. Burdens of War explains why that drastic transition occurred, and how one group of citizens won the right to obtain publicly funded health services. The story of the early roots of service-related health policies has a variety of larger implications. It shows how veterans' welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to the provision of access to direct medical services; how shifting ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender shaped the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change. On a general level, an examination of the roots of a nationwide veterans' hospital system demonstrates how privileges were won in the twentieth-century United States. It reveals a moment of state expansion, but also illustrates the wider tendency of the U.S. government to award entitlements selectively. The policies that paved the way for the advent of a veterans' medical system thus deserve to be considered as foundational in the development and shape of the American welfare state."--Provided by publisher

2022-03-08